Grace Elisia Horgan, MOT, OTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

OT13458 Issued in FL

Practice address

841 Prudential Dr Ste 140
Jacksonville, FL 32207-8363

Phone

(904) 346-0394

NPI assigned

Apr 25, 2012

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1335312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335312000000",
    "number": "1306104609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "841 PRUDENTIAL DR STE 140",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322078363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "841 PRUDENTIAL DR STE 140",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322078363",
            "telephone_number": "904-346-0394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORGAN",
        "first_name": "GRACE",
        "middle_name": "ELISIA",
        "credential": "MOT, OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-25",
        "last_updated": "2012-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "FL",
            "license": "OT13458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittney Hopper
• Thanayi Hopson
• Craig Michael Horbinski, M.D., PH.D.
• Devin R Horde, PA-C
• Avery D Horgan, PT
• Horizon Relay Services
• Alexandria Horlacher
• Samantha Hormaza, MS
• Hormone Health and Weight Loss
• Ashley L Horn, ARNP

• Pediatric Occupational Therapist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Pediatric Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.